眼的程度是否会影响患有隔离的头骨下眼的患者的伪?
Ulunay Kanatlı1, İnci Hazal Ayas2, Mehmet Ali Tokgöz1
1Department of Orthopaedics and Traumatology, Gazi University School of Medicine, Ankara, Turkey.
Clinical orthopaedics and related research
|June 24, 2024
概括
在隔离的 subscapularis 撕裂中的伪麻与肌的完整性有关. 涉及下部部位的撕裂增加了伪的几率,强调了上部肌在肩膀提升方面的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 肩部关节镜检查 肩部关节镜检查
- 旋转手套病理学 旋转手套病理学
背景情况:
- 外科医生经常将伪衰竭与巨大的旋转手套撕裂联系起来.
- 隔离的下骨撕裂和伪的关联仍然不清楚.
研究的目的:
- 为了研究 subscapularis 撕裂的程度和伪的存在之间的关系.
- 为了确定特定的撕裂特征是否与孤立的下骨撕裂中的伪相相关.
主要方法:
- 追溯分析106名患有隔离的骨下裂纹的患者进行了关节镜手术.
- 伪衰减被定义为45°至90°之间的活跃向前升高与完全被动升高.
- 后勤回归用于分析撕裂严重程度 (拉福斯型),肌完整性,脂肪退行,双肩乱,SLAP病变和疼痛 (VAS得分).
主要成果:
- 伪与撕裂严重程度的降低 (Lafosse I型) 和 subscapularis肌部分的破坏有关.
- 肌部分受损的患者具有显著更高的伪衰老几率 (调整后的OR 21).
- 伪衰老与脂肪退行,双肩乱或SLAP病变之间没有发现任何关联.
结论:
- 孤立的 subscapularis 撕裂与伪麻有关.
- 涉及下下肌的撕裂增加了伪的可能性.
- 保持上下肌的完整性对于肩膀积极向前提升至关重要.
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